Registration Form

Student(s)

Student One

Student 1 Name*

First

Last

Student 1 Year of commencement*

Student 1 Entry year*

Student 1 Date of Birth*

Student 1 Gender*

Male
Female

Student Two

Student 2 Name

First

Last

Student 2 Year of commencement

Student 2 Entry year

Student 2 Date of Birth

Student 2 Gender

Male
Female

Student Three

Student 3 Name

First

Last

Student 3 Year of commencement

Student 3 Entry year

Student 3 Date of Birth

Student 3 Gender

Male
Female

Student Four

Student 4 Name

First

Last

Student 4 Year of commencement

Student 4 Entry year

Student 4 Date of Birth

Student 4 Gender

Male
Female

Parent(s)/Guardian(s)

Parent/Guardian One

Parent 1 Name*

Title

First

Last

Parent 1 Address*

House Number

Street Name

Suburb

State

Postcode

Parent 1 Phone number category*

Parent 1 Contact phone number*

Parent 1 Email*

Parent/Guardian Two

Parent 2 Name

Title

First

Last

Parent 2 Address

(leave blank if same as above)

House Number

Street Name

Suburb

State

Postcode

Parent 2 Phone number category

Parent 2 Contact phone number

Parent 2 Email

For marketing purposes, please indicate how did you first learn about the College?

How did you hear about the Kennedy?

Please specify

The Registration of Interest will place your child/ren on a waitlist, Enrolment will only be confirmed after satisfactory interviews have been conducted usually 1-2 years prior to commencement.

Please print a copy of this form BEFORE submitting if planning to pay the $50 registration fee in person.

Register Online:

Student(s)

Student One

Student Two

Student Three

Student Four

Parent(s)/Guardian(s)

Parent/Guardian One

Parent/Guardian Two